During the third joint replacement surgery, Lu Chengcheng wisely gave up and gave the opportunity to Cao Xiaohe and Deng Zhi.

In the first two stations, we looked at each other, made the entrance, and did the sutures. There is no need to take all the opportunities by yourself.

As a result, after Cao Xiaohe and Deng Zhi came on stage at the same time, Fan Cheng and Tong Gaobo could only stare at the timing panel of the operation. There was no chance to go on stage to mingle.

Lu Cheng also came over and joined the team of two people.

Then he narrowed his eyes and took stock of the gains from the two surgeries.

For the second operation, the contribution exceeded 45%, and the gold coins obtained were as high as 1,200, and the experience points were as high as 2,000! Lu Cheng felt very happy, but it was a pity that there was still no book explosion.

come out.

But in this way, Lu Cheng's one month's rent would just come back.

I was in a good mood for a moment, and then I heard Tong Gaobo and Fan Cheng muttering there. It was Tong Gaobo who said: "What are you going to eat for lunch today? How about ordering takeout?"

Fan Cheng then said: "Forget it, let's continue to eat the surgical meal in the operating room. Professor Min always eats this, and we have to make separate meals. This is not good."

"It's better in the afternoon, Brother Wei and Brother Zhu can still order some food."

After hearing this, Tong Gaobo closed the takeout software and said, "That's right. But why do you think Professor Min still eats surgery meals? When he doesn't usually operate, he also comes to eat surgery meals at noon."

"Is he a professor who is short of money?"

Fan Cheng said: "Bullshit, how can the professor be short of money? It's just that Professor Min is not very particular about food, as long as he can manage to eat enough."

Lu Cheng felt that the food in the operating room was quite delicious, and he didn't have to spend any money, he could just sign what the department said.

…

After the third joint replacement, all joint replacement surgeries were finally completed today.

After Min Hong stepped off the stage, he looked at the patient with some reluctance, took his mobile phone and wallet, patted Lu Cheng's shoulder and said: "Xiao Lu, let's go, let's go eat first, there are a few arthroscopes in the afternoon.

It’s time for you to stand up.”

Lu Cheng quickly followed Min Hong.

Chang Weilong looked at the two people standing under the stand, frowned and said, "What are you two doing standing there in a daze? Go have a meal quickly, and then come to the operating room to prepare for the next shoulder arthroscopy."

After hearing this, Gao Bo and Fan Cheng hurriedly left the operating room. They originally wanted to hang out for a while and wait for Chang Weilong and the others to go to dinner together, but now it seems that they can't do it.

Min Hong had changed into his own clothes, while Lu Cheng was still wearing a surgical gown and a blue isolation plastic bag on his shoes, sitting directly opposite Min Hong.

There was a pile of food in front of both of them, including both staple food and meals, and there were many different styles.

Min Hong said softly: "Xiao Lu, we have a total of three arthroscopes this afternoon. Today you will do the joint cleaning of the one that Lin Hui wants to operate first. The other two are, one is for anterior cruciate ligament reconstruction, and the other is

It's the suturing of the rotator cuff. You'd better not interfere for now."

"Chang Weilong and Zhu Lihong also have to perform their own surgeries before they share it with you. You have to understand this."

Lu Cheng naturally nodded and said, "I know, Master. It would be great if I could observe and learn from them."

Surgeons rely on surgery to make a living. Chang Weilong and Zhu Lihong are both on the rise in their careers, and Lu Cheng is just a student now. It would be good to have simple surgeries. How can you ask for this or that?

Just spend some experience points and gold coins and that's it. The iron tool man still has money to get, isn't it nice?

"Well, work steadily, and first lay a solid foundation for yourself, so that you can seize every opportunity. Only after you seize every opportunity, can you get more opportunities."

"When you are a doctor, don't be reckless or anxious. You must take things lightly and accumulate experience."

Lu Cheng kept nodding.

And if Chang Weilong heard this, he would probably be stunned. Could these words be what Professor Min Hong should say?

Lu Cheng and Min Hong had just finished eating, and Chang Weilong and others came down to eat. Min Hong went back directly, and Lu Cheng met Chang Weilong when they met at the connection between the operating room and the restaurant.

.

Chang Weilong said: "Xiao Lu, when I called the operating room to pick up the patient, I changed the order of the operations. You and Gao Bo and Fan Cheng will do the cleaning surgery on that knee arthroscope first."

"Your senior brother Ji Mo hasn't come down yet. I can help you on the stage. I'll come up after dinner later. Brother Zhu will go to the operating room later, so we can finish it early today."

Lu Cheng knew what Chang Weilong meant. If Lin Hui was the surgeon, he could put the joint cleaning on the last one, and they would be relieved. It was only Lu Cheng who started the surgery, so it was better to be conservative and arrange it in the front. Zhu Lihong and he were both there.

, you can come to Lu Cheng’s rescue at any time to avoid any unexpected situations.

"Thank you Brother Wei." In informal situations, both Chang Weilong and Zhu Lihong prefer to be called Brother, rather than Teacher Chang and Teacher Zhu.

"Go ahead and do it well. Don't be impatient." Chang Weilong warned.

Although this kid Lu Cheng is a bit reckless and dares to do whatever Professor Min Hong tells him, his skills are still very solid and there are no problems in the process. Asking Lu Cheng to do it alone will not cause much trouble.

problem.

It's just that when you first start doing it, some accidents will inevitably happen, so you still have to hammer it frequently.

When Lu Cheng arrived at the operating room, he saw Ji Mo preparing all the preoperative preparations on the operating table. He had already taken care of the patient's pants and marked the affected knee.

At this moment, he was opening the sterilization bag, and then took out the curved disk and oval forceps and asked the circulating nurse to pour the iodine complex, while the hand-washing nurse was also cleaning the instruments very efficiently.

Lu Cheng quickly went to help lift his legs, and then said: "Senior Brother Ji, thank you for your hard work. I haven't even eaten yet."

Ji Mo was very moved and said: "It's okay. I'm used to it. I'm a hard worker. I'm usually the last one to eat in the department. You're here just in time. Please help me lift my legs for disinfection!"

At the end of the season, he is very proficient in disinfection. Like a very good wall painter, he quickly disinfected everything from the knee joint to the ankle joint, including the little finger, up and down, and then began to disinfect the walls.

The nurse washes hands and lays out sterile sheets.

After laying out the large order, the hand-washing nurse took a foot wrap, and Lu Cheng put the patient down and walked to the reader to take a serious look at the patient's MRI.

There is a large amount of synovial hyperplasia in the retropatellar synovial fold, the continuity of the cruciate ligament exists, and no damage to the meniscus is seen. It is a simple joint debridement surgery.

After washing my hands and getting dressed, four or five minutes had passed. At this time, I had finished connecting the arthroscopic instruments. I was using the arthroscope to pour water into a small iron bowl. The bowl contained

It's the accessory kidney.

After this, Ji Mo stepped aside a little and said, "Junior brother, what did Wei Ge and the others say? Do you want us to wait for them or do you want to do it yourself?"

Lu Cheng came up to the table and said, "We'll do it ourselves!"

"Teacher wash your hands, give me the syringe." Lu Cheng gave the order directly and started the surgical process.

The knee joint was punctured to fill the joint cavity, then the skin was broken with a sharp knife, and the straight forceps were inserted directly into the joint cavity. At the end of the season, Lu Cheng was hurriedly flexed the knee joint to 90 degrees.

When Lu Cheng put in the arthroscopic sleeve, he moved the knee joint from flexion to straightening at the end of the season. During the movement, there was a gap for Lu Cheng to insert the arthroscopic sleeve from the outside.

After pulling out the crowbar, Lu Cheng inserted the arthroscope from the lens case. After quickly rotating the field of view in the mirror, the subpatellar bursa was exposed to Lu Cheng and Ji Mo.

A large synovial fold appeared in front of the two people.

At the end of the season, I was like, "This fold is really big. It's the biggest synovial fold I've ever seen."

"More than one!" Lu Cheng said, then adjusted the direction, and then reached the outer edge of the patella, and said: "Look, there is another small one here. But it is also very simple to deal with."

"Senior brother, let's continue exploring other places." Lu Cheng ordered.

"Ah, okay." At the end of the season, when Lu Cheng slid the arthroscope down from the subpatellar bursa to the intercondylar fossa, he bent his legs a little, and then looked at the medial and lateral menisci, and he also made a small movement quickly.

Figure 4 sign and knee valgus.

Sports medicine surgery, if you have a good assistant, will definitely get twice the result with half the effort. The foundation of sports medicine at the end of the season must be there, and it is quite solid, so Lu Cheng's surgery went very smoothly.

Lu Cheng said: "There is a large amount of fat pad in the intercondylar fossa, we need to cut it off a little! Then after taking care of the synovial membrane, we can explore the meniscus. Teacher, is the planer installed?"

"It's installed. In the pile of instrument slots, only the planer is installed." The handwashing nurse smiled and looked at the field of view of the arthroscope with her hands folded, blinking slightly.

Although Lu Cheng has just obtained the authority to perform surgery, his proficiency does not look like that of a new sports medicine doctor.

Only then did Lu Cheng see that during this arthroscopy, the water pipe and the instrument pipe were separated at the end of the season. He suddenly realized that this was also a worthwhile little detail, and he got it.

Immediately afterwards, Lu Cheng quickly made another opening, the inner opening was slightly inward!

This will be more helpful in clearing the infrapatellar fat pad.

As soon as the planer went in, Lu Cheng immediately started cleaning up. Although the scene was chaotic during the cleaning process, Lu Cheng always ensured that the planer was protected against the femur and meniscus, so he was not afraid.

be damaged.

After about a minute, Lu Cheng withdrew the planer and replaced it with a plasma electric knife to cauterize the remaining fat pad and stop the bleeding!

Immediately afterwards, Lu Cheng used the plasma electric knife to touch the upper and lower edges of the synovial membrane in several places.

So I directly changed to the planer, and as if a god descended from the earth, all the synovial membranes were packed away, and I never changed the plasma electric knife again.

Um?

At that time, I was stunned at the end of the season.

When cleaning the synovial membrane, why did Lu Cheng not have a red mirror and just use a planer to clean it to the end? Usually Wei Ge and Hong Ge are not so neat, and they have to switch several times.

Even the mechanic in charge of the arthroscopy was a little surprised: "Today's patient is really strange. There is no bleeding in the synovial membrane. This joint cleaning is really refreshing."

"Yes, this Xiaolu is pretty good."

Lu Cheng thought to himself, I have already injected blood vessels in and out. How can it still bleed? The remaining blood in the synovial membrane has been washed away by the joint flushing fluid. Of course it is refreshing.

But it’s better not to say this, after all, we don’t have his ‘equipment’!

Then Lu Cheng re-entered the arthroscopic sleeve through the inner opening and took a look at the fat pad under the patella. It had been polished to a very comfortable position. This fat pad was already there, but there had been hyperplasia before, so it was not necessary to remove it completely.

Then, Lu Cheng quickly used a probe hook to explore the medial and lateral menisci and cruciate ligaments. After finding that there were no major problems, he said: "Okay, we can deal with the synovial folds. Once the treatment is completed, it will be over.
To be continued...